内外合治综合疗法治疗支气管哮喘临床研究

Clinical Study on Comprehensive Therapy for Bronchial Asthma

目的观察综合外治疗法(频谱照穴、穴位敷贴、穴位注射)联合中西药物内用的综合疗法治疗支气管哮喘的临床疗效。方法将144例病例随机分为治疗组86例和对照组58例。对照组采用内服中药、可比特气雾剂吸入,治疗组在此治疗基础上加用外治疗法(频谱照穴、穴位敷贴、穴位注射)。观察两组近期疗效、远期疗效、治疗前后发作次数积分及血清IgE水平。结果治疗组、对照组近期总有效率分别为80.23%和55.17%,治疗组、对照组远期总有效率分别为86.05%和68.97%,两组比较,差异均有统计学意义(P<0.01);治疗组治疗后发作次数积分低于对照组(P<0.05);治疗组血清IgE复常率为71.67%,与对照组56.52%比较,差异有统计学意义(P<0.01)。结论内外合治综合疗法能够明显改善支气管哮喘患者的临床症状,减少急性发作,有较好的近期及远期疗效。

Objective To observe the clinical efficacy of external therapy including frequence spectrum radiation, point application and point injection, combined with internal administration of western and Chinese medicines on bronchial asthma. Methods 144 cases of bronchial asthma were randomly divided into treatment group（n =86） and control goup（n =58）. The patients in the control group were given oral Chinese medicine and Bit aerosol, while the patients in the treatment group were not only given the same therapy as those in the control greup, hut also external therapies. Short-term and long-term effects, score of attack frequency and adverse events were observed, and levels of serum IgE was determined. Results The total effective rate of short-term effect in the treatment group and the control group were 80.23% and 55.17% respectively; while the total effective rate of long-term effect were 86.05% and 68.97% respectively（P 〈0.01 ）. The score of attack frequency in the treatment group were lower than that in the control group （P 〈 O. 05 ）. The normalization rate of IgE in the treatment group was 71.67%, higher than 56.52% in the control group（P 〈0.01 ）. Conclusion Interual-external comprehensive therapy may improve the clinical symptoms, reduce acute attack, and has good short-term and long-term effects on bronchial asthma.